Individual
KIMBERLY DAWN LANDROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2972 W TALARA LN, TUCSON, AZ 85742-4809
(520) 406-5196
(520) 721-0069
Mailing address
2972 W TALARA LN, TUCSON, AZ 85742-4809
(520) 406-5196
(520) 721-0069
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
893249
—
AZ
Enumeration date
01/09/2007
Last updated
07/08/2007
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